Download Tube Feeding Diets for Dogs and Cats

Tube Feeding Diets for Dogs and Cats
Table 1. Moist homogenized commercial diets used for tube feeding dog and cats:
esophagostomy, or gastrostomy tubes
Kcal
per ml
%
kcal
protein
%
kcal
carb
%
kcal
fat
n-6:n-3
ratio
suitable for
Tube
size
Prescription Diet A/D
(Hill’s)
Isosmolar
Lactose free
Fiber 1.3% DMB
Adequate taurine
1.2
35
12
53
2:1
feline pancreatitis
not canine pancreatitis
18F +
1 can Prescription Diet A/D
(Hill’s) + 25 ml water
Isosmolar
Lactose free
Fiber 1.3% DMB
Adequate taurine
1.0
35
12
53
2:1
feline pancreatitis
not canine pancreatitis
12F +
Prescription Diet A/D mixed
1:1 with water
Isosmolar
Lactose free
Fiber 1.3% DMB
Adequate taurine
0.6
35
12
53
2:1
feline pancreatitis
not canine pancreatitis
8F +
2 cans Prescription Diet A/D
+ 1 can Feline CliniCare
Isosmolar
Lactose free
Fiber 0.9% DMB
Adequate taurine
1.1
33
17
50
n.a.
feline pancreatitis
not canine pancreatitis
12F +
Maximum Calorie
(Iams/Eukanuba)
2.1
31
15
54
5:1
feline pancreatitis
not canine pancreatitis
18F +
Recovery Formula
(Iams/Eukanuba)
Isosmolar
Lactose free
Fiber 1.6% DMB
Adequate taurine
2.1
29
66
5
n.a.
feline pancreatitis
canine pancreatitis
18F +
Product
1
Table 2. Liquid polymeric commercial diets used for tube feeding dog and cats:
nasoesophageal, esophagostomy, or gastrostomy tubes
Kcal
per
ml
%
kcal
protein
%
kcal
carb
%
kcal
fat
n-6:n-3
ratio
suitable for
Tube
size
CliniCare Canine (Abbott)
Isosmolar
Lactose free
Fiber free
Taurine 88 mg/ml
1
20
25
55
6:1
not canine pancreatitis
5F +
CliniCare Feline (Abbott)
Isosmolar
Lactose free
Fiber free
Adequate taurine
1
30
25
45
6:1
feline pancreatitis
5F +
CliniCare RF Feline (Abbott)
Isosmolar
Lactose free
Fiber free
Adequate taurine
1
22
21
57
6:1
feline pancreatitis
5F +
Concentration Instant Diet
Canine (Waltham/Pedigree)
1.5
30
25
37
n.a.
not canine pancreatitis
5F +
Concentration Instant Diet
Feline (Waltham/Pedigree)
1.3
37
15
48
n.a.
feline pancreatitis
5F +
Ensure HN (Ross)
1.1
22
53
25
n.a.
feline pancreatitis
not canine pancreatitis
5F +
Immun-Aid (McGaw)
Protein source: lactalbumin,
L-arginine, BCAA, nucleic
Acid
Hyperosmolar (460 mosmol/kg)
Lactose free
Fiber free
Taurine 200 mg/L (low)
1.0
32
48
20
n.a.
feline pancreatitis
not canine pancreatitis
???
1
22
53
25
n.a.
feline pancreatitis
not canine pancreatitis
8F +
1.1
17
54
29
n.a.
feline pancreatitis**
not canine pancreatitis
8F +
Product
Impact (Sandoz)*
Protein source: L-arginine,
Na and Ca caseinates
Isotonic
Lactose free
Fiber free
Taurine free
Jevity (Ross)*
Protein source:
Na and Ca caseinates
Isotonic
lactose free
fiber 14.4 g/L
taurine 114 mg/L (low)
2
Table 2 (cont’d). Liquid polymeric commercial diets used for tube feeding dog and cats:
nasoesophageal, esophagostomy, or gastrostomy tubes
Kcal
per
ml
%
kcal
protein
%
kcal
carb
%
kcal
fat
n-6:n-3
ratio
suitable for
Tube
size
OsmoliteHN (Ross)*
Protein source: soy protein,
Na and Ca caseinates
Isotonic
Lactose free
Fiber free
Taurine 114 mg/L (low)
1.1
17
54
29
n.a.
feline pancreatitis**
not canine pancreatitis
5F +
Pulmocare (Ross)
1.5
17
28
55
n.a.
feline pancreatitis**
not canine pancreatitis
8F +
1
24
55
21
n.a.
feline pancreatitis
not canine pancreatitis
8F +
Traumacal (Mead Johnson)*
Protein source:
Na and Ca caseinates
Hyperosmolar (490 mosm/kg)
Lactose free
Fiber free
Taurine free
1.5
22
38
40
n.a
feline pancreatitis
not canine pancreatitis
???
Vitaneed (Sherwood)*
Protein source: pureed beef,
Na and Ca caseinates
Isotonic
Fiber 8 g/L
Taurine free
1.0
16
48
36
n.a.
feline pancreatitis
not canine pancreatitis
???
Product
Sustacal (Mead Johnson)
n.a. = not available
*Human formulas are low and taurine, and if used for cats, 250 mg taurine per 8 ounces should be added
** not suitable for cats long term (low protein); can add protein (see Table 4)
-
3
Table 3. Liquid monomeric commercial diets used for tube feeding dog and cats:
naso-esophageal, esophagostomy, gastrostomy or jejunostomy tubes
Kcal
per
ml
%
kcal
protein
%
kcal
carb
%
kcal
fat
n-6:n-3
ratio
suitable for
tube
size
1
16
51
33
n.a.
feline pancreatitis**
not canine pancreatitis
5F +
Perative (Ross)*
Protein source: partially
Hydrolyzed Na caseinate,
Lactalbumin hydrolysate
Hyperosmolar (425 mosmol/kg)
Lactose free
Fiber free
Taurine 130 mg/ml
1.3
20
55
25
n.a.
feline pancreatitis**
not canine pancreatitis
5F +
Travasorb HN (Clintec)*
Protein source: hydrolyzed
lactalbumin
Hyperosmolar (560 mosmol/kg)
Lactose free
Fiber free
Taurine free
1.0
18
70
12
n.a.
feline pancreatitis**
canine pancreatitis
???
Vital HN (Ross)*
Protein source: partially
hydrolyzed whey, meat, soy,
L-amino acids
Hyperosmolar (500 mosm/kg)
Lactose free
Fiber free
Taurine free
1
17
74
9
n.a.
feline pancreatitis**
canine pancreatitis
5F +
Vivonex TEN (Sandoz,
Norwich Eaton)*
Protein source: crystalline
amino acids
hyperosmolar (630 mosmol/kg)
lactose free
fiber free
taurine free
1
15
83
2
n.a.
feline pancreatitis**
canine pancreatitis
5F +
Product
Peptamen (CliniTec)
Protein source: hydrolyzed
whey protein
isosmolar
lactose free
fiber free
taurine 130 mg/ml
n.a. = not available
* Human formulas are low and taurine, and if used for cats, 250 mg taurine per 8 ounces should be added
** not suitable for cats long term (low protein); can add protein (see Table 4)
4
Table 4. Protein modules to increase protein content of liquid diets
Product
tube size
Promod (Ross)
5F +
Pro-Magic (Animal Nutrition Laboratories)
5F +
Add 15-30 g casein or whey powder to 8 ounces of liquid diet.
Human formulas are low and taurine, and if used for cats, 250 mg taurine per 8 ounces should be added
Table 5. Recipe for liquid diet for
jejunostomy tube or trickle feeding
into E-tube or G-tube in cats with pancreatitis
One package Vital low-fat elemental diet (Ross)
355 ml water
2 tablespoons Promod (protein product - Ross)
500 mg arginine
500 mg taurine
350 mg choline if hepatic lipidosis
1-2 ml liquid vitamin B supplement
Final solution is 0.87 kcal/ml
Solution is hyperosmolar, and can sometimes cause diarrhea
Dr. Kathy Michel, U Penn VH
Table 6. Custom feline/canine tube feeding diet, using any canned commercial food
1 can (11-13 oz.) of commercial canned cat or dog food
¾ cup tap water
Any other nutrients indicated for the individual
1. Put all of the ingredients in a blender and run at the fastest cycle
2. Pour the food through a kitchen strainer to prevent plugging of the 12 Fr + tube
Tom Smith, ACVIM
5
Table 7. Custom feline tube feeding diet, using any canned commercial food
3 cans (5.5 oz each) of commercial canned cat food
8 oz tap water
2 oz vegetable oil
16 mEq potassium gluconate.
Any other nutrients indicated for the individual
1. Put all of the ingredients in a blender and run at the fastest cycle
2. Pour the food through a kitchen strainer to prevent plugging of the 12 Fr + tube
3. Feed each cat 45-50 ml/kg daily.
Gary Norsworthy, ABVP
6